Potentially inappropriate medications among elderly Brazilian outpatients
CONTEXT AND OBJECTIVESIn Brazil, few studies have investigated the prevalence of potentially inappropriate medications (PIMs) among elderly outpatients. This study aimed to determine the prevalence of PIMs prescribed for elderly outpatients, identify the PIMs most commonly involved, and investigate...
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| Format: | Article |
| Language: | English |
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Associação Paulista de Medicina
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| Series: | São Paulo Medical Journal |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802013000100019&lng=en&tlng=en |
| _version_ | 1818319777303625728 |
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| author | Christine Grützmann Faustino Maria Cristina Guerra Passarelli Wilson Jacob-Filho |
| author_facet | Christine Grützmann Faustino Maria Cristina Guerra Passarelli Wilson Jacob-Filho |
| author_sort | Christine Grützmann Faustino |
| collection | DOAJ |
| description | CONTEXT AND OBJECTIVESIn Brazil, few studies have investigated the prevalence of potentially inappropriate medications (PIMs) among elderly outpatients. This study aimed to determine the prevalence of PIMs prescribed for elderly outpatients, identify the PIMs most commonly involved, and investigate whether age, sex and number of medications are related to prescription of such medications.DESIGN AND SETTINGObservational descriptive study developed in the Geriatrics Service of the Central Institute of Hospital das Clínicas (HC), Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, Brazil.METHODSPrescriptions issued to 1,270 elderly patients (≥ 60 years) were gathered from a database. These prescriptions had been written by geriatricians at a tertiary-level university hospital in São Paulo, Brazil, between February and May 2008. The prescriptions were divided according to sex and age group (60-69, 70-79 and ≥ 80). The Beers criteria were used to evaluate PIMs.RESULTSMost of the sample comprised women (77%) and the mean age was 80.1 years. The mean prevalence of PIM prescriptions was 26.9%. Female sex and number of medications prescribed were associated with prescription of PIMs. The chance of having a PIM prescription was lower among patients ≥ 70 years.CONCLUSIONThe greater prevalence of PIMs was correlated with female sex. The chance of having a PIM prescription was lower among patients ≥ 70 years and became greater with increasing numbers of medications prescribed (≥ 7). |
| first_indexed | 2024-12-13T10:14:30Z |
| format | Article |
| id | doaj.art-c26fc85db40a4af29aecf39dae4410a5 |
| institution | Directory Open Access Journal |
| issn | 1806-9460 |
| language | English |
| last_indexed | 2024-12-13T10:14:30Z |
| publisher | Associação Paulista de Medicina |
| record_format | Article |
| series | São Paulo Medical Journal |
| spelling | doaj.art-c26fc85db40a4af29aecf39dae4410a52022-12-21T23:51:21ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-94601311192610.1590/S1516-31802013000100004S1516-31802013000100019Potentially inappropriate medications among elderly Brazilian outpatientsChristine Grützmann FaustinoMaria Cristina Guerra PassarelliWilson Jacob-FilhoCONTEXT AND OBJECTIVESIn Brazil, few studies have investigated the prevalence of potentially inappropriate medications (PIMs) among elderly outpatients. This study aimed to determine the prevalence of PIMs prescribed for elderly outpatients, identify the PIMs most commonly involved, and investigate whether age, sex and number of medications are related to prescription of such medications.DESIGN AND SETTINGObservational descriptive study developed in the Geriatrics Service of the Central Institute of Hospital das Clínicas (HC), Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, Brazil.METHODSPrescriptions issued to 1,270 elderly patients (≥ 60 years) were gathered from a database. These prescriptions had been written by geriatricians at a tertiary-level university hospital in São Paulo, Brazil, between February and May 2008. The prescriptions were divided according to sex and age group (60-69, 70-79 and ≥ 80). The Beers criteria were used to evaluate PIMs.RESULTSMost of the sample comprised women (77%) and the mean age was 80.1 years. The mean prevalence of PIM prescriptions was 26.9%. Female sex and number of medications prescribed were associated with prescription of PIMs. The chance of having a PIM prescription was lower among patients ≥ 70 years.CONCLUSIONThe greater prevalence of PIMs was correlated with female sex. The chance of having a PIM prescription was lower among patients ≥ 70 years and became greater with increasing numbers of medications prescribed (≥ 7).http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802013000100019&lng=en&tlng=enGeriatricsPharmacoepidemiologyPrescriptionsAmbulatory careAged |
| spellingShingle | Christine Grützmann Faustino Maria Cristina Guerra Passarelli Wilson Jacob-Filho Potentially inappropriate medications among elderly Brazilian outpatients São Paulo Medical Journal Geriatrics Pharmacoepidemiology Prescriptions Ambulatory care Aged |
| title | Potentially inappropriate medications among elderly Brazilian outpatients |
| title_full | Potentially inappropriate medications among elderly Brazilian outpatients |
| title_fullStr | Potentially inappropriate medications among elderly Brazilian outpatients |
| title_full_unstemmed | Potentially inappropriate medications among elderly Brazilian outpatients |
| title_short | Potentially inappropriate medications among elderly Brazilian outpatients |
| title_sort | potentially inappropriate medications among elderly brazilian outpatients |
| topic | Geriatrics Pharmacoepidemiology Prescriptions Ambulatory care Aged |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802013000100019&lng=en&tlng=en |
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